Breast and cosmetic Flashcards
Fasanella Servat
treatment of mild-moderate upper eyelid ptosis (<3mm) with good (10mm) elevator function
resection of a portion of the tarsus, conjunctiva, and Muller muscle
Normal MRD 1 (marginal reflex distance)
4mm
Greater auricular nerve
Crosses SCM (emerges from posterior border) 6.5cm inferior to EAC (1/3 of way between EAC and clavicular origin of SCM, also is 1 cm cranial to to EJ/runs parallel and posterior to EJ on anterior surface of SCM))
most commonly injured n. in rhytidectomy
inn. anterior and superior ear including the tragus and skin below the ear (inc angle of the mandible)
Laser treatment of acne scars in dark skin
non-ablative fractional lasers (erbium-doped fiber laser)
liposomal bupivacaine facts (exparel)
- Wait to give exparel at least 20 min after injecting lidocaine
Er:YAG laser target
water (2940nm)
Rhinoplasty moves
Medial foot plate excision
Transdomal sutures
Lateral crural spanning sutures
Septal tongue in groove technique
Medial foot plate excision: removes prominent foot plates
Transdomal sutures: narrows nasal tip
Lateral crural spanning sutures: straitens convex or concave lower lateral cartilage
Septal tongue in groove technique: control tip support, projection, and rotation
Modified mammography for breast implants
Eklund view
Paradoxical adipose hyperplasia
complication of cryolipolysis
tx: liposuction or excision 6-9 months after initial procedure
TXA
MOA: inhibits fibrinolysis
Breast implant screening recommendations
MRI or HR-US at 5 years then every 2-3 yrs after
Inner canthal orbiculares (blinking, lower lid tone, lacrimal pump) innervation
Buccal branch
Extracanthal orbicularis (eyelid closure, squinting, animation) innervation
zygomatic branch
TCA peel
medium peel
30-35% intermediate to papillary dermis –> dense white frosting
degrease with Jessner or etoh
no systemic toxicity
Phenol peel
deep peel (2x TCA)
to upper reticular dermis
+ cardiac toxicity: monitor with egg, iv hydration, anti arrhythmic
+ skin depigmentation, bleaching
